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Persistent pain on a root canalled tooth?

User Level:
Patient
Posted by: need2love  (8 years ago)
So, six months ago, I had an infection in my lower left first molar. The dentist put me on a course of antibiotics. When I finished it, he performed a root canal on the tooth. The infection did not go away completely. He sent me to a root canal specialist to have a retreatment done. However, the pain stayed. The endodontist instructed me to see an oral surgeon.

The oral surgeon performed a root canal surgery, wherein the gums were cut open. Finally, the pain went away. I thought I was already fine until three weeks ago, the pain came back and it spread to my sinus and left ear.

What’s going on? Should the tooth be extracted? Any information would be great! Thank you in advance!
User Level:
Student
Posted by: Novocaine  (8 years ago)
So, six months ago, I had an infection in my lower left first molar. The dentist put me on a course of antibiotics. When I finished it, he performed a root canal on the tooth. The infection did not go away completely. He sent me to a root canal specialist to have a retreatment done. However, the pain stayed. The endodontist instructed me to see an oral surgeon.

The oral surgeon performed a root canal surgery, wherein the gums were cut open. Finally, the pain went away. I thought I was already fine until three weeks ago, the pain came back and it spread to my sinus and left ear.

What’s going on? Should the tooth be extracted? Any information would be great! Thank you in advance!


Hey,

Sounds like you had an apicoectomy/root resection procedure. Success rate is usually mixed bag at best and they come with a set of risks that I'm hoping your oral surgeon informed you about. Sinus infection, pain, fistula, etc. are definitely some of them. As unfortunate as it sounds, I think the procedure could have failed and your solution would lie in extracting it. Take care and keep us posted!
User Level:
Patient
Posted by: need2love  (8 years ago)
Hello Novocaine,

Thanks for replying. The oral surgeon did not inform me about the risks of the root canal surgery that he performed. In fact he seemed mad about me having low pain tolerance that is why I am hesitant to go back to him and report about the pain I am having now. Can I go to a new dentist or should I go back to the oral surgeon?
User Level:
Student
Posted by: Novocaine  (8 years ago)
The oral surgeon did not inform me about the risks of the root canal surgery that he performed. In fact he seemed mad about me having low pain tolerance that is why I am hesitant to go back to him and report about the pain I am having now. Can I go to a new dentist or should I go back to the oral surgeon?

Well, considering the fact that apicoectomies are risky ventures, it is unfortunate that your oral surgeon didn't find it important to let you in on it. That said, you have no reason to be hesitant in following up with your oral surgeon regardless of what you feel about what he thinks. Pay him a visit and things could turn around, for all you know. And if for some reason this doesn't work out, you can always get referred to another oral surgeon or whichever way you want to work this out.

Take care!
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